Let's say you have a pregnant woman who come into the ED with vomiting, fever, etc., and reports she has been unable to keep anything down for 2 days. She has a hx of methadone use and possible continued use of intravenous drugs. How do you proceed with this assessment? I'm thinking you would assess the fetus first via a NST, but I'm not sure if that's right. Thoughts? Thanks in advance!
Oct 9, '12
by Elvish, BSN, RN
I always assess Mom first. Ideally, like another poster said, you try to throw her on the monitor while checking her out, but if you can't, Mom comes first.
Something else to think about - I'm not saying this is what Mom had, but her constellation of symptoms can also be part of withdrawal, which CAN negatively affect the fetus, depending on the drug and severity of withdrawal.
Last edit by Elvish on Oct 9, '12